36D2279432 CLIA NUMBER - OHIO CVS STORES, LLC CVS/PHARMACY #03402

Laboratory Demographics

  • CLIA Code: 36D2279432
  • Facility Name: OHIO CVS STORES, LLC CVS/PHARMACY #03402
  • Facility Address: 115 NORTH COLLEGE ST
    PIQUA, OH
    ZIP 45356
  • Facility Phone: 937 773-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE MCMUNN
  • NPI Number: 1912000639
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2279432
LAB Type Pharmacy
Facility Name OHIO CVS STORES, LLC CVS/PHARMACY #03402
Street 115 NORTH COLLEGE ST
City PIQUA
State OH
ZIP 45356
Phone 937 773-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director KYLE MCMUNN

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This page was last updated on: 9/29/2025